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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY L KOEHN, MD, PHD

Active Sole Proprietor

GARY L KOEHN, MD, PHD is a Interventional Vascular Surgery healthcare provider located in LA GRANGE HIGHLANDS, Illinois. NPI 1992758965 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · LA GRANGE HIGHLANDS, IL

Registration Details

NPI Number
1992758965
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2006 (20.252283540935 yrs)
Last Updated
Nov 8, 2012
Licenses
25969 (WI)
036074138 (IL)
036074138 (IL)
Sole Proprietor
Yes

Practice Information

Address
5201 WILLOW SPRINGS RD
SUITE 110
LA GRANGE HIGHLANDS, IL, 605256537
Browse IL providers · Browse ZIP 60525
Phone
7084824500
Fax
7084824502
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.